Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1679724983

NPI: 1679724983Share
Active Billing Period:2018-11→2024-12(71 months)

Total Paid

$9.7M

$9,746,203

Total Claims

217K

Beneficiaries

188K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$720
+1592%
2019
$12K
+5231%
2020
$649K
+171%
2021
$1.8M
+31%
2022
$2.3M
+13%
2023
$2.6M
-7%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 63% of total spending.

S9083Top 10%

Global fee, urgent care centers

$6.2M

45K claims · 63.2%

Your Cost: $138.28/claim|Median: $103.99
1.3× median
S9088Top 5%

Services provided in an urgent care center

$1.6M

13K claims · 16.1%

Your Cost: $117.31/claim|Median: $28.22
4.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$730K

23K claims · 7.5%

Your Cost: $32.17/claim|Median: $37.81
0.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$616K

23K claims · 6.3%

Your Cost: $26.74/claim|Median: $53.41
0.5× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$191K

5,843 claims · 2.0%

Your Cost: $32.65/claim|Median: $57.85
0.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$132K

4,237 claims · 1.4%

Your Cost: $31.07/claim|Median: $84.03
0.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$121K

15K claims · 1.2%

Your Cost: $7.90/claim|Median: $39.63
0.2× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$83K

8,194 claims · 0.9%

Your Cost: $10.12/claim|Median: $30.04
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$41K

2,411 claims · 0.4%

Your Cost: $17.11/claim|Median: $25.06
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$27K

695 claims · 0.3%

Your Cost: $38.67/claim|Median: $74.09
0.5× median
A6449Normal range

$16K

1,178 claims · 0.2%

Your Cost: $13.62/claim|Median: $5.88
2.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$9K

962 claims · 0.1%

Your Cost: $9.31/claim|Median: $40.11
0.2× median
J0696Top 10%

$6K

417 claims · 0.1%

Your Cost: $15.47/claim|Median: $1.34
11.5× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$6K

419 claims · 0.1%

Your Cost: $13.43/claim|Median: $9.80
1.4× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$5K

640 claims · 0.1%

Your Cost: $8.41/claim|Median: $0.91
9.2× median
S0119Top 25%

$5K

656 claims · 0.0%

Your Cost: $7.25/claim|Median: $0.40
18.1× median
E0114Normal range

$4K

474 claims · 0.0%

Your Cost: $9.24/claim|Median: $29.11
0.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$4K

15K claims · 0.0%

Your Cost: $0.27/claim|Median: $11.48
0.0× median
29125Normal range

$4K

85 claims · 0.0%

Your Cost: $42.57/claim|Median: $28.04
1.5× median
A4565Top 10%

$4K

266 claims · 0.0%

Your Cost: $13.37/claim|Median: $5.77
2.3× median
99058Normal range

$3K

259 claims · 0.0%

Your Cost: $9.88/claim|Median: $15.38
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

185 claims · 0.0%

Your Cost: $13.55/claim|Median: $7.18
1.9× median
87804Normal range

Influenza virus detection, rapid test

$2K

7,225 claims · 0.0%

Your Cost: $0.29/claim|Median: $12.59
0.0× median
71046Normal range

Chest X-ray, 2 views

$2K

4,271 claims · 0.0%

Your Cost: $0.44/claim|Median: $8.92
0.0× median
86580Top 10%

Tuberculosis (TB) skin test

$2K

179 claims · 0.0%

Your Cost: $9.71/claim|Median: $4.46
2.2× median
L3260Normal range

$2K

85 claims · 0.0%

Your Cost: $19.86/claim|Median: $16.57
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1K

5,284 claims · 0.0%

Your Cost: $0.20/claim|Median: $4.71
0.0× median
80047Normal range

$975

4,589 claims · 0.0%

Your Cost: $0.21/claim|Median: $6.12
0.0× median
L3908Normal range

$928

169 claims · 0.0%

Your Cost: $5.49/claim|Median: $35.79
0.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$800

1,592 claims · 0.0%

Your Cost: $0.50/claim|Median: $9.70
0.1× median
← All providersHow we detect fraud →